Tuesday, April 29, 2008

How kind found severity of angina

In the out-patient work, we often diagnosis and treatment of angina patients. As the heart of the special importance of human health, and patients with angina attack will not only feel pain and tension, therefore, angina patients very concerned about the severity of their illnesses, patients often ask ourselves seriously to what extent, in particular, Can develop into acute myocardial infarction. Some people have even proposed "I Hai Nenghuo many years» " As many types of angina, the patient's situation different, so there is no determine the severity and prognosis of the quality of uniform standards. Summed up what, from the following areas can help determine the severity of angina. First, look at clinical types: stable angina can be divided into exertion angina, early-onset angina, worsening angina, supine angina, variant angina, intermediate syndrome, infarct After angina and mixed angina. Generally speaking, to stabilize the condition of exertion angina lighter, the prognosis is good, mixed followed, and other various types of illness is heavier, so this was a few types of collectively known as unstable angina Angina. The so-called stable angina exertion is the main characteristics of the frequency of angina attack, incentives, pain location and the nature and duration of the (3 to 5 minutes) basically the same as in one to three months without change. Early-onset patients is that the past did not have angina or myocardial infarction, less than a month after the early, the patients very tight, a small number of patients may develop into a worsening angina, or myocardial infarction. Also known as a type of deterioration, refers to the original stable patients, within three months the frequency of pain, extent, incentives change frequently, and the deterioration of the pain intensified, extended time, more than 10 minutes, using nitrate After the glycerol can not be completely eliminated immediately, to show that the development of coronary artery disease, may develop into a myocardial infarction. Position-means that the break occurred when asleep or angina, attack a longer time, the symptoms are serious, intense pain Nanren, the patient irritability, clothes nitroglycerin effect was not obvious, poor prognosis, and can develop Acute myocardial infarction and serious arrhythmias. And supine variant of similar, often at night attack, but the performance of different ECG attack, the poor prognosis, and more will happen myocardial infarction. Middle-also known as coronary insufficiency, the attack lasted for 30 minutes to one hour or more, often in the rest or sleep in the occurrence of serious condition, is often a prelude to myocardial infarction. Infarction angina refers to acute myocardial infarction occurred shortly after the angina, may prompt the recurrence of myocardial infarction. Mixed stable angina is unstable and tired of mixing or alternating, both of the two types of clinical manifestations. Second, look at the patient heart condition: If a patient's heart there is no obvious organic change, the normal resting electrocardiogram, normal heart function, in mild physical activity is not induced angina attack, showed that less severe diseases. On the contrary, such as heart patients increased significantly, or myocardial occurred sclerosis, or coronary angiography found that serious or widespread disease, static ECG also significantly change the myocardial ischemia, poor heart function, minor events can be induced angina Attack, show that the condition heavier. Third, look at blood pressure, blood lipids: such as patients with severe hypertension, blood pressure was significantly higher, and the effect of poor relief, greater fluctuations in blood pressure, blood fat or significantly higher, will further add to coronary artery disease, the prognosis negative. Fourth, to see the body normally, age and whether those with other serious illnesses: if the general state of health of patients better, below the age of 50-year-old and does not suffer from other serious diseases, the prognosis favorable. On the contrary, poor physical patients, aged 60 and above, and a cerebral hemorrhage, cerebral infarction, diabetes and other serious diseases, may accelerate the condition deteriorated. Finally, it should be especially pointed out: the general stability of exertion angina patients, if treated seriously and obey the doctor's advice, adhere to appropriate exercise, diet, and actively making self-care, most patients can establish a new coronary side Circulation, the condition can not only ease, but also may no longer angina attack, or even enjoy longevity.

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